Individual
JENNIE MARIA LIPARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3614 165TH ST, 2CN, FLUSHING, NY 11358-2042
(917) 748-2875
(718) 445-1391
Mailing address
3614 165TH ST, 2CN, FLUSHING, NY 11358-2042
(917) 748-2875
(718) 445-1391
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F302113
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6I02491601
—
NY
01
—
SF484
EMPIRE BC/BS
NY
Enumeration date
03/28/2006
Last updated
01/12/2010
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